Organization Active NPI

Ray E Peters D.O.

  • Hematology & Oncology Physician
  • Poplar Bluff, MO
National Provider Identifier
1306925565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
R2C32 Issued in MO
Legal business name
RAY E PETERS D.O.
Practice address
2210 Barron Rd
Suite 110
Poplar Bluff, MO 63901-1908
Phone
(573) 778-9598
Fax
(573) 778-9581
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ray E Peters, D.O.
Title
President
Phone
(573) 778-9598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X R2C32 MO Primary

Addresses

Primary practice location

2210 Barron Rd
Suite 110
Poplar Bluff, MO 63901-1908

Mailing address

2210 Barron Rd
Suite 110
Poplar Bluff, MO 63901-1908
Phone (573) 778-9598

National Provider Directory

National Provider Directory

Locations

296 W Sunset Ave
Ste 7
Coeur D Alene, ID 83815

2210 Barron Rd
Ste 110
Poplar Bluff, MO 63901
Phone (573) 778-9598

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306925565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 BARRON RD",
            "address_2": "SUITE 110",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-778-9598",
            "fax_number": "573-778-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 BARRON RD",
            "address_2": "SUITE 110",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-778-9598",
            "fax_number": "573-778-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY E PETERS D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-778-9598",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "R2C32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.